Attachment 17 - Suitability Roster.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 75N95024R00040
About this file
This document is an attachment titled "Suitability Roster" related to a federal contract opportunity for "Scientific Management and Support to the National Institute of Mental Health (NIMH) Repository and Genomics Resource (NRGR)".
The Suitability Roster is a template for the contractor to provide information about employees requiring suitability investigations, including their name, position, security clearance status, and required forms/documentation. The solicitation number is 75N95024R00040, and the contract is with the Department of Health and Human Services' National Institutes of Health, National Institute on Drug Abuse. The purpose of the contract is to sustain, enhance, and enrich the NRGR, a centralized national biorepository that provides DNA, RNA, cell lines, and other biospecimens to the research community for studies on psychiatric disorders.
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Text version
Suitability Roster
ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS
| CAN: | Contractor: | |||
| RFP/Contract #: | Contractor Contact: | |||
| Contract Title: | Contractor E-mail: | |||
| Project Officer: | ||||
| Contract Specialist: | ||||
| TO BE FILLED OUT BY | ||||
| PROJECT OFFICER and ISSO: | TO BE FILLED OUT BY CONTRACTOR: | |||
| TO BE FILLED IN BY CONTRACTOR: |
PROJECT OFFICER and ISSO:
| Suitability Level | Investigation Type | Questionaire Required | Existing Clearance or Application | |||||
| Last Name | First Name | Position | Non-Disclosure |
Agreement Submitted (mm/dd/yyyy) Security Awareness Training Completed
| (mm/dd/yyyy) | Tier 1, 2, 3, 4, or 5 | Tier 1; Tier 2S; Tier 2SR; Tier 3; Tier 3R; Tier 4; Tier 4R; Tier 5; Tier 5R | Estimated Cost | SF85, SF85P, or SF86 | Questionaire Submitted |
| (mm/dd/yyyy) | HHS Credit Release Submitted | ||||
| (mm/dd/yyyy) | OF 306 Submitted | ||||
| (mm/dd/yyyy) | Fingerprinting Completed | ||||
| (mm/dd/yyyy) | Agency | Clearance Level | Date | Comment |
&Z&F
File details come from the government source that posted it. Updated .